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Dr. Anthony James Nigliazzo , MD

Surgery • Berea, KY

Active NPI 1235339433 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

305 Estill St
Berea, KY 404031742

Call 8599868418 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

305 Estill St

Berea, KY 404031742

Telephone 8599868418
Organization at the Same NPPES Address or Phone
Saint Joseph Berea Hospital Outpatient Pharmacy Facility NPI 1396743894

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bluffton, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Coal County General Hospital; Hospital Care Consultants Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2007

Medicare-allowed amount

About $1,749 in 2017

The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.

Paid by Medicare

About $1,121 in 2017

The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.

30-day fills

26 standardized 30-day fills in 2017

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$182 in 2017

The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nigliazzo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Nigliazzo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Berea and Kentucky

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Nigliazzo are from 2017.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Nigliazzo are from 2017.

3 active clinicians are listed under Surgery with a practice address in Berea, KY (459 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2017.

CMS Part B · Data Year 2017

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
21 19 $11.00 $2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $209.67 $93.74

Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2017.

CMS Part D · Data Year 2017
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 26 131 $182.39 21

Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MI 4301090768

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20240515001682

Enrollment State Jurisdiction

OK

PECOS Control ID

7012170632

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Coal County General Hospital

6 N Covington St, Coalgate, OK 745382002

Phone: 5809272327245

Hospital Care Consultants Inc

213 E Redwood Ave, Sallisaw, OK 749552811

Phone: 9187741100

Secondary Practice Locations

303 S Main St

Bluffton, IN 467142503

Phone: 2603532021

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1285680553

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location October 29, 2019

Registered at 305 ESTILL ST, BEREA, KY 404031742 (Tel: 8599868418)

📍
Updated Business Mailing Address October 29, 2019

Registered at 106 HANOVER DR, LONDON, KY 407419775 (Tel: 2603014062)

✅
NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 06, 2017

Registered at PO BOX 3395, EVANSVILLE, IN 477323395

📍
Updated Practice Location December 06, 2017

Registered at 303 S MAIN ST, BLUFFTON, IN 467142503 (Tel: 2603532021)

👤
Provider Name / Credentials Updated December 06, 2017

Recorded as ANTHONY NIGLIAZZO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Surgery (license number reported to NPPES: MI 4301090768)

✅
NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 01, 2016

Registered at 303 S MAIN ST, BLUFFTON, IN 467142503 (Tel: 2603532021)

📍
Business Mailing Address (Initial Record) September 01, 2016

Registered at 303 S MAIN ST, BLUFFTON, IN 467142503 (Tel: 2603532021)

👤
Provider Name / Credentials (Initial Record) September 01, 2016

Recorded as ANTHONY NIGLIAZZO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Surgery (license number reported to NPPES: MI 4301090768)

🟢
Initial NPI Registration & Enumeration July 25, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235339433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2007
Last Update: October 29, 2019
Sole Proprietor: No

Other Surgery Specialists in Berea

Mailing Address

106 Hanover Dr

London, KY 407419775

Phone: 2603014062

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.